Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35.131903 | OH |
Y | 208600000X | Surgeon | 35.131903 | OH |
N | 2086S0102X | Surgical Critical Care | 35131903 | OH |
NPI | 1144428160 |
---|---|
Provider Name | Dr. Heena P Santry |
First Address | Miamisburg, OH 45342-6115 |
Second Address | Kettering, OH 45429-1267 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0238222 | (05) | OH |